Table 4.
Liver Iron Quantification
| Description | T2w Coronal |
T1w In/ Out |
T2w FatSat |
DWI b= 0, 50, 500 |
T1w Axial |
T2*MAP In-Phase | T2*MAP Short ET |
T2*MAP Long ET |
|---|---|---|---|---|---|---|---|---|
| Sequence | SSFSE | 2D SPGR | FRFSE | EPI | 3D SPGR | 2D GRE | 2D GRE | 2D GRE |
| Plane | Coronal | Axial | Axial | Axial | Axial | Axial | Axial | Axial |
| Slice thickness (mm) |
5 | 7 | 7 | 7 | 5 | 10 (3 slices) | 10 (3 slices) | 10 (3 slices) |
| Gap (mm) | 0 | 1 | 1 | 1 | −2.5 | 2 | 2 | 2 |
| Fat suppression | – | – | Spectr. | (Spectr.) | IR | – | – | – |
| TE1/TE2 (ms) (out/in) |
100 | 2.2/4.4 | 102 | Min (<90) | ? | 1.9; 4.7; 7.5; 10.2; 13; 15.8; 18.5; 21.3 |
0.9; 1.8; 2.8; 3.8; 4.8; 5.8 |
0.9; 2.0; 3.1; 4.2; 5.3; 6.4; 7.6; 8.7; 9.8; 10.9; 12; 13.1 |
| TR (ms) | – | 210 | 2500 | 4000 (2000) | ? | −40 | 35.5 | 35.5 |
| Flip angle | 90 | 90 | 90 | 90 | 12 | 25 | 12 | 12 |
| ETL | – | – | 15 | – | – | – | – | – |
| NEX | 0.5 | 1 | 1 | 1 (12) | <1 | 1 | 1 | 1 |
| Phase enc. steps |
320 | 256 | 256 | 128 | 256 | 384 | 128 | 104 |
| Frequency steps | 192 | 128 | 160 | 128 | 192 | 192 | 64 | 104 |
| Breath | BH | BH | BH | BH/Trig. | BH | BH | BH | BH |
| Notes | 8 echoes | 6 echoes | 12 echoes |
After basic sequences for evaluation of liver parenchyma, 3 multiecho T2*-weighted sequences are acquired to obtain good accuracy in estimation. In the first T2*-weighted series, ETs are set approximately within water and fat phase coherence, whereas in short ET the first echo time is <1 ms to investigate higher iron concentrations. The long ET series is designed to investigate lower iron concentrations. BH, breath-hold; Dixon, Dixon technique; enc., encoding; ETL, echo train length; FSE, fast spin echo; In/out, in-phase and out-of-phase; IR, inversion recovery; NEX, number of excitations; Spectr., chemically selective fat suppression; SSFSE, half Fourier single-shot FSE. Trig., respiratory triggering; w, weighted.